Pearls in Pediatric Otolaryngology , David R. White, M.D. Utilize surgical procedures other than tracheotomy to manage conditions that lead to airway obstruction in infants. Review the most common genetic and acquired causes of sensorineural hearing loss (SNHL). Discuss the likelihood of contralateral involvement in patients with unilateral SNHL. Describe the coblation tonsillectomy technique and its advantages over standard electrocautery tonsillectomy. Discuss the likelihood of retro- and parapharyngeal abscess after tonsillectomy.
Troubled Sleep: Part I, Richard J. Schwab, M.D., David N. Neubauer, M.D. and Richard D. Simon Jr., M.D. Define and characterize the types, patterns, and stages of sleep. Evaluate sleep deprivation using subjective and objective measures. Diagnose and treat restless legs syndrome, periodic limb movement disorder, and narcolepsy. Recognize the causes of insomnia and choose among behavioral and pharmacologic treatment options. Describe the relationships between sleep and cancer.
Troubled Sleep: Part II, Samuel T. Kuna, M.D. Explain the difficulties in validating the use of home sleep monitoring devices and consider methods for increasing their utility. Describe the continuum and associated sequelae of sleep-disordered breathing in children. Choose appropriate therapy for managing sleep disordered breathing and OSA in children . Identify factors associated with an increased risk for perioperative complications in patients undergoing surgery for OSA. Describe recommended steps in preoperative assessment and planning, and postoperative care of patients undergoing surgery for OSA.
Observations in Assisted Hearing, Erik H. Waldman, M.D., Jaclyn B. Spitzer, P.h.D., et al. Define the benefits of early implantation of cochlear implants and of bilateral implants in children. Describe the evaluation of music appreciation in patients with cochlear implants. Measure balance, horizontal canal function, and saccular function in children with hearing loss due to bacterial meningitis. Identify the effects of inflammation in patients with cochlear implants. Select candidates for placement of bone-anchored hearing aids and perform the implantation procedure.
Pearls and Pointers on Managing Parathyroid Disease, James Cohen, M.D., P.h.D. and Keith S. Heller, M.D. Employ diagnostic testing to distinguish secondary from primary hyperparathyroidism (PHPT). Utilize the criteria for surgical intervention in PHPT. Discuss the similarities and differences between bilateral and unilateral exploration of the parathyroid gland. Practice the techniques commonly used in conventional bilateral exploration of the parathyroid. Recognize and manage patients with persistently elevated parathyroid hormone after surgery.
Strategies for Managing Otologic Disease, Robert Jackler, M.D., Lorne Parnes, M.D., et al. Describe the growth pattern and pathophysiology of cholesteatomas. Manage recurrent and residual cholesteatomas, as well as those complicated by concurrent otitis media. Identify the best candidates for canal-wall-intact and canal-wall-down mastoidectomy. Name the most common microorganisms and predisposing factors involved in otitis externa. Explain why revision stapedectomy should be attempted only in low-risk patients.
Managing Diseases of the Larynx and Esophagus, Gerald S. Berke, M.D. and Srinadh Komanduri, M.D., M.S. Describe several techniques for injection of the vocal cords. Recognize the 2 major types of spasmodic dysphonia, as well less frequently seen types. Administer botulinum toxin injections to treat spasmodic dysphonia, laryngeal papillomatosis, and other laryngeal disorders. Discuss current techniques for diagnosing high- and low-grade dysplasia and Barrett’s esophagus. Use radiofrequency ablation for treatment of Barrett’s esophagus.
Strategies for Improving Your Surgical Practice, John J. Nance, J.D. and Peter A. Adamson, M.D. Consider how culture change can be brought about in health care. Evaluate the roles of perception, assumption, and communication in medical errors. Describe unique ability and how it affects surgical practice. Apply delegation and growth strategies to a surgical practice. Discuss the frontstage/backstage model of surgical practice.
Sensorineural Hearing Loss: A Management Analysis, Lawrence R. Lustig, M.D., Francis A. Sooy, M.D. Describe the cellular mechanisms and genetics of age-related hearing loss (ARHL). Counsel patients on prevention of ARHL. List commonly used drugs that can have SNHL as a side effect, and explain the mechanisms by which these agents cause hearing loss (HL). Define sudden SNHL and describe current research into its treatment. Explain how magnetic resonance imaging is used in determining underlying structural causes in patients who present with HL.
Airway Disease: Current Concepts/Clinical Advances, Bradley F. Marple, M.D., William R. Reisacher, M.D. Explain the relationship of bacteria and superantigens to chronic rhinosinusitis (CRS). Discuss the role of antifungal agents and allergy immunotherapy in the management of CRS. Describe the immunologic changes seen with sublingual immunotherapy (SLIT). Discuss the advantages and disadvantages of SLIT. Explain the concept of a unified airway.
